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PRAKASH PUNJ SHARMA M.D.
NPI 1831503937
Internal Medicine in Waterloo, IA

Active since June 17, 2014PECOS EnrolledAccepts Medicare Assignment
3421 W 9TH ST, WATERLOO, IA 50702(319) 272-8000 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 17, 2018, Nov 13, 2017 (2 updates tracked since 2017).

About Prakash Punj Sharma M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRAKASH PUNJ SHARMA M.D. (NPI 1831503937) is an individual internal medicine provider in Waterloo, Iowa, licensed in Iowa (MD-44666) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, is affiliated with Sartori Memorial Hospital, Inc, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1831503937
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NamePRAKASH PUNJ SHARMACredential: M.D.
Location Address3421 W 9TH STWaterloo, IA 50702-5401
Mailing Address225 Grand St Apt 227Jersey City, NJ 07302-7457 · (347) 534-8371
Phone(319) 272-8000
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJune 17, 2014
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1831503937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IA · MD-44666
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
3421 W 9TH ST, Waterloo, IA 50702
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Prakash Punj Sharma M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID143449868
PECOS Enrollment IDI20171229000527
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
97 services97 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
45 services43 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
14 services11 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sartori Memorial Hospital, Inc

Acute Care Hospitals · Cedar Falls, IA
OwnershipVoluntary non-profit - Church
CMS Certification Number160040
Location515 College StreetCedar Falls, IA 50613 · Black Hawk County
Emergency services

Mercyone Waterloo Medical Center

Acute Care Hospitals · Waterloo, IA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number160067
Location3421 West Ninth StreetWaterloo, IA 50702 · Black Hawk County
Emergency services Birthing friendly

Mercyone Oelwein Medical Center

Critical Access Hospitals · Oelwein, IA
OwnershipVoluntary non-profit - Church
CMS Certification Number161338
Location201 Eighth Avenue SEOelwein, IA 50662 · Fayette County
Emergency services

Waverly Health Center

Critical Access Hospitals · Waverly, IA
OwnershipGovernment - Local
CMS Certification Number161339
Location312 9th Street SWWaverly, IA 50677 · Bremer County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50702 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$122.23 typical visit price
range $52.96 – $161.40
Typical copayment $30.55 (range $13.24 – $40.35)
Most-billed visit code 99204
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier19 claims19 services$4.61 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PAUL FRANKE M.D.
Internal Medicine
3421 W 9TH ST
WATERLOO, IA 50702
Black Hawk County (319) 272-5655
DR. MICHELLE NICOLE KOMPARE MD
Pediatrics (Neonatal-Perinatal Medicine)
3421 W 9TH ST
WATERLOO, IA 50702
Black Hawk County (319) 272-8000
MARCIA A RELLIHAN D.O.
Nurse Practitioner (Obstetrics & Gynecology)
3421 W 9TH ST, SUITE G4500
WATERLOO, IA 50702
Black Hawk County (319) 233-8865
KRISTA RAE MILLER CNM
Advanced Practice Midwife
3421 W 9TH ST
WATERLOO, IA 50702
Black Hawk County (319) 272-8000
MARY A STEFFENSMEIER
Dietitian, Registered (Nutrition, Sports Dietetics)
3421 W 9TH ST
WATERLOO, IA 50702
Black Hawk County (319) 272-5859
KEVIN J DIRKSEN ARNP
Nurse Practitioner (Acute Care)
3421 W 9TH ST
WATERLOO, IA 50702
Black Hawk County (757) 561-4487
DR. RACHELLE ALEXANDRA MAKINDE MD
Anesthesiology
3421 W 9TH ST
WATERLOO, IA 50702
Black Hawk County (319) 272-5000
LEVI EDWARD ANDREWS DPM
Podiatrist
3421 W 9TH ST
WATERLOO, IA 50702
Black Hawk County (319) 272-2112

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Prakash Sharma's NPI number?

The NPI number for Prakash Sharma is 1831503937. It was assigned to this individual provider in the NPPES registry on June 17, 2014.

Where is Prakash Sharma located?

Prakash Sharma practices at 3421 W 9th St, Waterloo, IA 50702. The listed phone number is (319) 272-8000.

What is Prakash Sharma's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Prakash Sharma enrolled in Medicare?

Yes. Prakash Sharma is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Prakash Sharma accept?

Health plans from Medica list Prakash Sharma as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Prakash Sharma affiliated with any hospitals?

According to CMS data, Prakash Sharma is affiliated with Sartori Memorial Hospital, Inc, Mercyone Waterloo Medical Center, Mercyone Oelwein Medical Center and Waverly Health Center.

When was this NPI record last updated?

The NPPES record for Prakash Sharma was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.